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Late Loss Functional Status ADL Flow Sheet (OSA)

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$28.30
SKU: 3145-24
$28.30

Updated 2024

Briggs Late Loss Functional Status ADL Flow Sheet (OSA)is for use in coding Section G of the Optional State Assessment (OSA) for states using the MDS 3.0 Item Set for Medicaid case mix reimbursement.

This monthly flowsheet (Front side covers for first 15 days of the month with the reverse side covering days 16 through 31) is used to record a resident's functional status in these 4 domains:

Bed MobilityTransfers
EatingToilet Use

Download a sample today!

Size: 11" x 8 ½"

Print: Black ink, 2-sided

Punching: 5-holes top and side

Packaging: 100 per pad

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